Mail in Signup Form


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Mail Form to: Blessed Hope Communications, PO Box 892131, OKC, OK 73189-2131
Or Fax to: 1-609-801-0798
 

Your Agent's ID:
Account Type:   Business   or   Residential
Name (as on phone bill):
Address:
Address Cont.:
City:
State:      Zip:
Main Phone #.:
Additional #'s: ,  
Current Local Carrier: (i.e. BellSouth, etc.)
Current LD Carrier: (i.e. Lifeline, MCI, etc.)
 
I would like to switch these services - check one:
       Both State to State and Instate Long Distance   or    State to State LD Only
 
Would you like a toll free number set up to ring to your main phone #? (small monthly fee applies)

      Yes          No           Do you have an existing Toll Free #?  If so, check here: 

I hereby Appoint TouchTone Communications to act as my Agent in all matters related to long distance service and carrier selection for providing long distance service. The undersigned also authorizes any Local Exchange Company (LEC) to make pertinent information available to the Agent for this purpose and to follow the Agent’s instructions with reference to any order, or change to, long distance service which the LEC provides to undersigned, and hereby release such LEC from any / all liability for doing so. The customer’s use or any common carrier transmission service provided by TouchTone Communications constitutes acceptance of the terms and conditions of service. The undersigned understands that there may be a charge from the local telephone company for each line upon conversion from another long distance carrier to TouchTone Communications, and that these charges will only be refunded by TouchTone with written proof of such charges. Please note that it is necessary to confirm with TouchTone that we have received and loaded all customer numbers prior to those numbers being switched to TouchTone for service. If TouchTone has not received or loaded the customer’s numbers prior to switching service to TouchTone, the numbers will be billed with Open Network rates that may be higher than TouchTone Rates. TouchTone is not responsible for absorbing or crediting Open Network Charges. TouchTone Communications does not charge monthly fees or minimum usage for any lines switched to TouchTone long distance service. TouchTone will charge a PICC recovery fee of $2.49 per “additional business line” to recover LEC charges. PICC fees are not charged on “primary business lines” or “residential lines” as indicated by the LEC. TouchTone Communications provides all rate plans based upon the LEC and the location where service is desired. TouchTone reserves the right to reject any order if plans are not consistent with the LEC and location, or for any other reason. TouchTone Communications reserves the right to change rates, monthly fees, PICC charges, or any other changes to this agreement that TouchTone deems necessary provided that TouchTone gives 30 days prior written notice to the customer. I/we the undersigned hereby agree to the terms and conditions set forth herein and represent authorization to execute the contract and agency on behalf of the entity having management and operational control of the business or property herein.

Customer Signature: _______________________________Print Name: _____________________________

Date:_______________ E-mail Address_____________________________________________________